424B5 ·Filed Apr 17, 2026

TRVI

Trevi Therapeutics, Inc.
BEARISH
Impact 7/10
Horizonmonths Processed5mo ago SEC0001193125-26-161582
Notable filing: 424B5
Actionable Insight ▼ Bearish

The immediate follow-on offering after earnings suggests urgent capital needs despite improved cash runway. The 10.6% discount to market price indicates weak investor demand. Traders should monitor cash burn rate and trial enrollment progress, as the company will need substantial additional funding beyond 2029 to complete development and commercialization. The timing suggests management may be capitalizing on temporary market optimism before potential trial setbacks.

DirectionBearish
Confidencehigh
Horizonmonths
Final — all horizons settled through T+60d ⚠ clustered
TRVI ▲ +17.82% at T+60d
SHORT call ✗ call lost -17.82% · α vs SPY -11.05% · entry $15.40 → $18.15
Entry anchored
Apr 17, 03:59 PM ET
via exchange tick
T+1d
-5.06%
call +5.06% · α +4.41%
$14.62
settled 6mo ago
T+5d
-7.34%
call +7.34% · α +8.25%
$14.27
settled 5mo ago
T+20d
-12.79%
call +12.79% · α +16.99%
$13.43
settled 5mo ago
T+60d
+17.82%
call -17.82% · α -11.05%
$18.15
settled 3mo ago

Price Chart

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Executive Summary

Trevi Therapeutics priced a $150.8 million follow-on offering of 11.6 million shares at $13.00 per share, just one day after reporting earnings. The proceeds will fund clinical development of its lead candidate Haduvio through 2029, covering pivotal Phase 3 trials for IPF-related chronic cough and Phase 2b trials for non-IPF ILD and RCC indications. This offering follows a recent $150 million shelf registration and comes amid concerns about capital needs despite a preliminary cash balance of $171.8 million as of March 31, 2026.

Key Facts

  • Offered 11,600,000 shares of common stock at $13.00 per share, raising $150.8 million in gross proceeds
  • Offering priced one day after earnings release (April 17, 2026 8-K filing)
  • Proceeds of approximately $141.1 million (after expenses) will fund clinical development of Haduvio through 2029
  • Funds expected to cover Phase 3 trials for IPF-related chronic cough and Phase 2b trials for non-IPF ILD and RCC indications
  • Preliminary cash balance as of March 31, 2026 was $171.8 million
  • Shares offered at $13.00 despite a closing price of $14.54 on April 16, 2026, representing a 10.6% discount
  • Significant immediate dilution of $10.68 per share to new investors

Financial Impact

$150.8 million raised through issuance of 11.6 million shares at $13.00 per share, with net proceeds of approximately $141.1 million after expenses

cashdilutionshares outstanding

Risk Factors

  • Significant dilution to existing shareholders
  • Company will need substantial additional funding beyond 2029 to complete development and commercialization
  • Clinical trial delays or failures could significantly impact valuation
  • Weak pricing (10.6% discount to market) suggests limited investor demand

Market Snapshot

Exchange
Nasdaq
Sector
Pharmaceutical Preparations

Investment Themes

Biotech & Drug Discovery

Documents Analyzed

This report is based on 5 SEC documents filed with EDGAR.

DocumentAccession Number
424B5 Filing (Primary)0001193125-26-161582
Document: d106297dexfilingfees.htm0001193125-26-161582
Document: 0001193125-26-161582-index-headers.html0001193125-26-161582
Document: 0001193125-26-161582-index.html0001193125-26-161582
Document: 0001193125-26-161582.txt0001193125-26-161582
10 reports for TRVI
Performance horizon

Track record builds as more directional reports settle.

Filters
Rows
Reports for TRVI — sortable, filterable
TypeNow
Jun 11, 2026
16w ago
Institutional Cluster
MIXED ★ 5/10
$13.46 $17.26▲ +28.23%▲ +23.84%$13.91 (+3.34%)
Jun 11, 2026
16w ago
Institutional Cluster
MIXED ★ 4/10
$13.46 $17.26▲ +28.23%▲ +23.84%$13.91 (+3.34%)
Apr 21, 2026
23w ago
DEFA14A
NEUTRAL ★ 3/10
$14.80 $19.07▲ +28.85%▲ +24.07%$13.91 (−6.01%)
Apr 20, 2026
23w ago
Press Release
NEUTRAL ★ 5/10
$14.62 $17.36▲ +18.74%▲ +11.84%$13.91 (−4.86%)
Apr 17, 2026
24w ago
424B5
BEARISH ★ 7/10
$15.40 $18.15▼ −17.82%▼ −11.05%$13.91 (+9.68%)
Apr 17, 2026
24w ago
8-K
BEARISH ★ 7/10
$15.23 $17.91▼ −17.60%▼ −11.45%$13.91 (+8.67%)
Apr 17, 2026
24w ago
Press Release
NEUTRAL ★ 6/10
$15.23 $17.91▲ +17.60%▲ +11.45%$13.91 (−8.67%)
Mar 17, 2026
28w ago
Press Release
MIXED ★ 6/10
$10.69 $13.46▲ +25.91%▲ +14.39%$13.91 (+30.12%)
Mar 10, 2026
29w ago
Press Release
NEUTRAL ★ 3/10
$11.94 $13.45▲ +12.65%▲ +1.12%$13.91 (+16.50%)
Mar 9, 2026
29w ago
Press Release
BULLISH ★ 7/10
$11.70 $13.50▲ +15.38%▲ +3.40%$13.91 (+18.89%)
Showing 10 of 10

US Market Status

Market Closed — Opens Mon (64h 59m)

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